Postoperative results of Ogawa type IIB meta-acromion fracture fixation with a 90° twisted reconstruction plate.

Introduction: Acromion fractures are rare and difficult to treat. There is no consensus on type of fixation. Due to the rarity of the injury, it is difficult to compare different techniques of osteosynthesis.

Os acromiale open reduction and internal fixation: a review of iliac crest autogenous bone grafting and local bone grafting.

Background: Symptomatic os acromiale are fairly uncommon, and treatment has included fragment excision, decompression, and open reduction and internal fixation. Nonunion rates as high as 40% have been reported after fixation of os acromiale. This study assessed whether union of an os acromiale could be reliably achieved without the use of an iliac crest bone graft.

The inter-teres approach to glenoid neck fractures: an alternative approach to glenoid fixation.

Background: Scapula fractures are rare injuries that are generally treated nonoperatively. When surgery is performed, it is commonly undertaken through the posterior approach, which can be invasive and unforgiving on the soft tissues. We describe an alternative safe approach between teres major and minor that remains deep to a fascial sling formed by the combined infraspinatus and teres minor fasciae and deep to the primary nerve to teres minor, which is a terminal branch of the axillary nerve.

Is radiograph glenopolar angle accurate for extraarticular scapular neck fractures?

Background: Plain radiographs still play a role in management of extraarticular scapular neck fractures. Glenopolar angle (GPA) is one of the radiograph measurements that is used to determine the necessity for surgery. Our aim was to establish reliability of GPA on plain radiograph in patients with extraarticular scapular neck fractures.

Subscapularis tenotomy versus lesser tuberosity osteotomy during total shoulder replacement: a comparison of patient outcomes.

Background: Two different techniques to release the subscapularis during total shoulder replacement (TSR) have been described: tenotomy and osteotomy. We review the clinical outcomes of a sequential series of patients in whom a TSR for primary osteoarthritis had been performed by either technique at our institution. Subscapularis function was tested by a new graded belly-press test.

A single surgeon's experience of treatment of Lisfranc joint injuries.

This paper assesses the outcomes and complications of Lisfranc joint injuries treated at a regional trauma centre under the care of a single surgeon. We performed a retrospective study of all patients that underwent ORIF of a Lisfranc joint injury over a 5-year period. Case note review, radiology review, and questionnaire assessment were performed.